Improvement Trajectories in Patient Reported Outcomes Differ Between Males and Females Following Anterior Cruciate Ligament Reconstruction
| Autor: | Elizabeth, Bjornsen, Caroline, Lisee, Todd A, Schwartz, Robert, Creighton, Ganesh, Kamath, Jeffrey, Spang, Troy, Blackburn, Brian, Pietrosimone |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Journal of Athletic Training. |
| ISSN: | 1938-162X 1062-6050 |
| Popis: | CONTEXT Patient reported outcomes (PROs) are utilized to track recovery and inform clinical decision-making following anterior cruciate ligament reconstruction (ACLR). It remains unclear if sex influences the trajectory of improvements in PROs over time post-ACLR. OBJECTIVE 1) to examine the effect of sex on the association between months post-ACLR and Knee Osteoarthritis Outcome Scores (KOOS) Quality of Life (QOL) scores in individuals with ACLR; and 2) to assess sex differences in KOOS QOL at selected timepoints post-ACLR. DESIGN Cross-sectional SETTING Laboratory PATIENTS OR OTHER PARTICIPANTS 133 females (20±3 yrs) and 85 males (22±4 yrs) within 6–60 months of primary, unilateral ACLR. MAIN OUTCOME MEASURES KOOS QOL was completed at a single follow-up timepoint post-ACLR. A multivariate, linear regression model was utilized to assess the interaction of sex on the association between months post-ACLR and KOOS QOL. Sex-specific, linear regression models were then used to predict KOOS QOL estimated marginal means (EMM) at each clinical timepoint (6,12, 24, 36, 48 and 60 months post-ACLR) and compared between sex. RESULTS In the primary model (R2=0.16, p CONCLUSION Males appear to exhibit PROs improvement post-ACLR at increasing months post-ACLR, while females do not demonstrate the same magnitude of linear increase in KOOS QOL. Females may require extended intervention to improve clinical outcomes post-ACLR and address a plateau in QOL. |
| Databáze: | OpenAIRE |
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